(6) [ Editor's note: This version of the introductory portion to subsection (6) is effective July 1, 2024. ] The state department, in cooperation with the case management agencies established in section 25.5-6-1703, shall develop and implement a coordinated plan to provide education about PACE program site operations under this section. The state board shall adopt rules:
(a) [ Editor's note: This version of subsection (6)(a) is effective July 1, 2024. ] To ensure that case managers and any other appropriate state department staff discuss the option and potential benefits of participating in the PACE program with all eligible long-term care clients. These rules must require additional and on-going training of the case management agency case managers in counties where a PACE program is operating. This training must be provided by a federally approved PACE provider. In addition, each case management agency may designate case managers who have knowledge about the PACE program.
(6.5) An eligible person who is enrolled in a managed care organization, an organization contracted with the state department pursuant to part 4 of article 5 of this title, or other risk-bearing entity may elect to withdraw from or terminate such enrollment and enroll in and receive services through a PACE program. The state board's rules shall define how such election is made. The effective date of an eligible person's election shall not be more than thirty days after the eligible person's date of election.
Source: L. 2006: Entire article added with relocations, p. 1898, § 7, effective July 1. L. 2008: (12) amended, p. 1749, § 1, effective June 2. L. 2009: (12) amended, (SB 09-265), ch. 205, p. 936, § 6, effective May 1. L. 2010: (12)(b) repealed, (HB 10-1382), ch. 217, p. 940, § 5, effective May 6. L. 2012: (6) and (7) amended and (6.5) added, (SB 12-023), ch. 94, p. 308, § 1, effective April 12. L. 2013: (3)(f) repealed, (HB 13-1300), ch. 316, p. 1690, § 81, effective August 7. L. 2015: (1)(a), (2)(b), and (8) amended, (1)(b) repealed, and (14) added, (SB 15-137), ch. 163, pp. 496, 498, §§ 1, 2, effective August 5. L. 2016: (7)(d) added and (12) amended, (SB 16-199), ch. 270, p. 1117, § 1, effective June 10. L. 2019: (12) amended, (SB 19-209), ch. 124, p. 534, § 1, effective April 17; (7)(b) amended, (HB 19-1172), ch. 136, p. 1709, § 184, effective October 1. L. 2021: IP(6) and (6)(a) amended, (HB 21-1187), ch. 83, p. 333, § 28, effective July 1, 2024.
Cross references: For the federal laws creating the Program of All-Inclusive Care for the Elderly (PACE), see section 9412 (b)(2) of the "Omnibus Budget Reconciliation Act of 1986", Pub.L. 99-509, and section 4802 of the federal "Balanced Budget Act of 1997", Pub.L. 105-33, codified at 42 U.S.C. secs. 1395 and 1396.
Structure Colorado Code
Title 25.5 - Health Care Policy and Financing
Article 5 - Colorado Medical Assistance Act - Services and Programs
Part 4 - Statewide Managed Care System
§ 25.5-5-402. Statewide Managed Care System - Definition - Rules
§ 25.5-5-406.1. Required Features of Statewide Managed Care System
§ 25.5-5-410. Data Collection for Managed Care Programs
§ 25.5-5-414. Telemedicine - Legislative Intent
§ 25.5-5-418. Primary Care Provider Sustainability Fund - Creation - Use of Fund
§ 25.5-5-419. Accountable Care Collaborative - Reporting - Rules
§ 25.5-5-420. Advancing Care for Exceptional Kids
§ 25.5-5-421. Parity Reporting - State Department - Public Input
§ 25.5-5-422. Medication-Assisted Treatment - Limitations on Mces - Definition